| NPI | 1629329370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 134188) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT134188) |
| 106H00000X Marriage & Family Therapist (Licence: CA AMFT118993) | |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2022-08-17 |